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NPI Code Detail

MEDICARE: JEFFREY F. HARBAND P.T.

MEDICARE:   JEFFREY F. HARBAND  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT 20057CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00378773OTHERCARAILROAD MEDICARE

General Provider Information

NPI Number : 1932112141
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY F. HARBAND P.T.
Provider Business Mailing Address
First Line : 19 VIA CAPISTRANO
Second Line :
City : TIBURON
State : CA
Zip : 94920-2030
Country : US
Telephone Number : 415-309-4012
Fax Number :
Provider Business Practice Location Address
First Line : 1 BLACKFIELD DR
Second Line :
City : TIBURON
State : CA
Zip : 94920-2053
Country : US
Telephone Number : 415-309-4012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 11/30/2007

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Directions to “ JEFFREY F. HARBAND P.T.” Practice Location

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